Graduated: 2004
NPI: 1972691541
Practice Locations (2)
CONCORD MEDICAL GROUP OF KENTUCKY PLLC
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 427189615
2704653561
MYMICHIGAN MEDICAL CENTER ALPENA
1501 W CHISHOLM ST
ALPENA, MI 497071401
9893567390
Source: CMS National Downloadable File, September 2026.